NPI 1669072161
Kellie L Cardoza, BHT
Practice location
- Address
- 6148 W Frier Dr, Glendale, AZ 85301-1223
- Phone
- (315) 955-0170
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1669072161
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Oct 2020
- Record last updated
- 26 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.